Oklahoma Senior Provider Network Manager, DentaQuest

You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all.

Job Description :

Location : Must live in the state of Oklahoma

At Sun Life, we look for optimistic people who want to make life brighter for ourClients.We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work.Every day,you'll be empowered and challengedbyworking withdynamic colleaguesto find new and innovative ways to make Sun Life the best benefits company in America.

The opportunity :

The Senior Provider Network Manager provides guidance and oversight to Provider Partners regarding benefit programs, policies, and procedures. The position handles identifying and addressing network gaps, recognizing and implementing process improvement opportunities, and monitoring CAP performance. This position mentors and coaches their team in provider recruitment and engagement. In addition to managing staff, the role may also have responsibility for covering larger or more complex situations and markets.

How you will contribute :

Manage and Guide provider engagement staff

Ensure provider engagement staff recruits providers within cost and access goals

Authorize and negotiate special deals

Develop strategic action plan to address network gaps

Develop provider education curriculum and approach

Cover more markets or highly complex markets

Organize amendment and recruitment projects

Develop project plans, internal / external reports, and ensure deliverables are met

Identify and coordinate implementation of quality / cost improvements

Manage reporting process to identify and modify provider outliers

Provide cross-market aid as needed

Analyze and monitor provider performance reports

Participate in and often present during client, organized dentistry and key stakeholder meetings / events

Identify continuous improvement opportunities

Manage CAP office performance

Coordinate and implement appropriate performance management strategies for team members to include :

Assist in the hiring process, including interviewing candidates.

Assist, train and motivate team members.

Evaluate and measure effectiveness of team members.

Assist in preparation of performance and wage evaluations in accordance with company policy.

Manages attendance and company-approved time off for team members.

Participate in the drive and implementation of Performance Improvement Plans and performance management initiatives.

Other duties as assigned

What you will bring with you :

Bachelor's degree in Business, Healthcare Administration (or related field) or equivalent, relevant experience.

5 years of experience in healthcare practice or managed care environment.

5 years' supervisory / management experience.

Experience in a managed care environment preferred

Excellent verbal and written communication skills.

Ability to work alone and as part of a team.

Knowledge of Microsoft Office.

Proven problem-solving skills.

Problem-solving and training experience.

Ability to make sound judgment conclusions based on data available with minimal oversight.

Do you see yourself in this role even if you haven't checked all the boxes above? We welcome all talented candidates and are committed to a culture that represents diversity in all forms. If you think you might thrive in this setting, we would love to hear from you.

Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you!

Life is brighter when you work at Sun Life

Excellent benefits and wellness programs to support the three pillars of your well-being - mental, physical and financial - including generous vacation and sick time, market-leading paid family, parental and adoption leave, a partially-paid sabbatical program, medical plans, company paid life and AD&D insurance as well as disability programs and more

Retirement and Stock Purchase programs to help build and enhance your future financial security including a 401(k) plan with an employer-paid match as well as an employer-funded retirement account

A flexible work environment with a friendly, caring, collaborative and inclusive culture

Great Place to Work Certified in Canada and the U.S.

Named as a "Top 10" employer by the Boston Globe's "Top Places to Work" two years running

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Salary Range : $63,000 - 94,500

At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive awarded based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.

We consider various factors in determining actual pay including your skills, qualifications, and experience. In addition to salary, this position is eligible for incentive awards based on individual and business performance as well as a broad range of competitive benefits.

Sun Life Financial is a leading provider of group insurance benefits in the U.S., helping people protect what they love about their lives. More than just a name, Sun Life symbolizes our brand promise of making life brighter -for our customers, partners, and communities. Join our talented, diverse workforce and launch a rewarding career. Visit us at www.sunlife.com / us to learn more.

At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.

Our Affirmative Action Program affirms our commitment to make reasonable accommodation to the known physical or mental limitation of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email thebrightside@sunlife.comto request an accommodation.

At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.

For applicants residing in California, please read our employee California Privacy Policy and Notice.

Job Category :

Sales - Client Relationship Management

Posting End Date : 20 / 03 / 2025

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected vetera n

Salary : $63,000 - $94,500